Medicare Reimbursement for CPT Code 15773

CPT code 15773 is a physician procedure code reported to Medicare for payment purposes; the specific clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and by locality, broken out for non-facility (e.g., office) and facility (e.g., hospital) settings. These figures reflect what Medicare's formula calculates before any deductible, coinsurance, or adjustments are applied.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$626.27	$454.25
ALASKA* (AK)	$744.51	$561.32
ALABAMA (AL)	$564.23	$413.72
ARKANSAS (AR)	$556.46	$408.70
ARIZONA (AZ)	$609.52	$442.84
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$776.12	$533.58
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$790.13	$542.09
OXNARD-THOUSAND OAKS-VENTURA (CA)	$685.08	$481.76
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$689.87	$486.38
NAPA (CA)	$738.39	$511.68
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$777.39	$534.85
VALLEJO (CA)	$736.56	$509.85
BAKERSFIELD (CA)	$651.04	$462.51
CHICO (CA)	$647.87	$459.34
FRESNO (CA)	$647.87	$459.34
HANFORD-CORCORAN (CA)	$647.87	$459.34
MADERA (CA)	$647.87	$459.34
MERCED (CA)	$647.87	$459.34
MODESTO (CA)	$647.87	$459.34
REDDING (CA)	$647.87	$459.34
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$659.95	$471.42
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$676.64	$476.59
SALINAS (CA)	$674.06	$474.70
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$795.33	$547.29
SANTA CRUZ-WATSONVILLE (CA)	$692.36	$483.36
SANTA ROSA-PETALUMA (CA)	$699.12	$487.89
STOCKTON (CA)	$647.87	$459.34
VISALIA (CA)	$647.87	$459.34
YUBA CITY (CA)	$647.87	$459.34
EL CENTRO (CA)	$648.05	$459.52
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$687.62	$481.89
SAN LUIS OBISPO-PASO ROBLES (CA)	$663.62	$467.70
SANTA MARIA-SANTA BARBARA (CA)	$675.96	$475.39
REST OF CALIFORNIA (CA)	$647.87	$459.34
COLORADO (CO)	$644.19	$461.17
CONNECTICUT (CT)	$666.79	$481.53
DC + MD/VA SUBURBS (DC)	$707.73	$505.09
DELAWARE (DE)	$619.20	$449.25
FORT LAUDERDALE (FL)	$661.26	$487.01
MIAMI (FL)	$698.49	$519.42
REST OF FLORIDA (FL)	$628.96	$464.52
ATLANTA (GA)	$640.32	$465.55
REST OF GEORGIA (GA)	$593.88	$440.44
HAWAII, GUAM (HI)	$660.72	$465.13
IOWA (IA)	$572.56	$415.17
IDAHO (ID)	$577.24	$418.99
EAST ST. LOUIS (IL)	$634.89	$476.63
SUBURBAN CHICAGO (IL)	$666.60	$489.94
CHICAGO (IL)	$678.10	$505.23
REST OF ILLINOIS (IL)	$615.45	$458.40
INDIANA (IN)	$580.29	$420.83
KANSAS (KS)	$572.54	$417.04
KENTUCKY (KY)	$582.42	$429.49
NEW ORLEANS (LA)	$609.74	$447.87
REST OF LOUISIANA (LA)	$582.56	$430.33
METROPOLITAN BOSTON (MA)	$702.36	$496.97
REST OF MASSACHUSETTS (MA)	$641.65	$460.52
BALTIMORE/SURR. CNTYS (MD)	$665.44	$480.87
REST OF MARYLAND (MD)	$629.82	$455.74
SOUTHERN MAINE (ME)	$609.17	$438.70
REST OF MAINE (ME)	$582.81	$424.56
DETROIT (MI)	$639.11	$473.11
REST OF MICHIGAN (MI)	$599.22	$442.17
MINNESOTA (MN)	$610.56	$433.55
METROPOLITAN ST. LOUIS (MO)	$608.75	$445.00
METROPOLITAN KANSAS CITY (MO)	$603.06	$441.53
REST OF MISSOURI (MO)	$574.73	$426.45
MISSISSIPPI (MS)	$565.57	$417.47
MONTANA** (MT)	$626.19	$454.18
NORTH CAROLINA (NC)	$588.21	$427.72
NORTH DAKOTA** (ND)	$604.05	$432.03
NEBRASKA (NE)	$574.79	$416.02
NEW HAMPSHIRE (NH)	$636.61	$457.55
NORTHERN NJ (NJ)	$701.45	$501.91
REST OF NEW JERSEY (NJ)	$672.50	$484.66
NEW MEXICO (NM)	$603.37	$445.64
NEVADA** (NV)	$620.39	$448.20
MANHATTAN (NY)	$721.78	$521.90
NYC SUBURBS/LONG ISLAND (NY)	$741.81	$537.29
POUGHKPSIE/N NYC SUBURBS (NY)	$678.94	$490.59
QUEENS (NY)	$723.72	$520.40
REST OF NEW YORK (NY)	$596.84	$433.42
OHIO (OH)	$594.69	$437.64
OKLAHOMA (OK)	$578.72	$425.11
PORTLAND (OR)	$660.92	$469.81
REST OF OREGON (OR)	$613.69	$442.36
METROPOLITAN PHILADELPHIA (PA)	$652.51	$473.45
REST OF PENNSYLVANIA (PA)	$594.16	$436.25
PUERTO RICO (PR)	$629.74	$455.83
RHODE ISLAND (RI)	$638.54	$460.85
SOUTH CAROLINA (SC)	$592.81	$433.87
SOUTH DAKOTA** (SD)	$601.43	$429.41
TENNESSEE (TN)	$575.60	$419.24
BRAZORIA (TX)	$616.52	$446.05
DALLAS (TX)	$621.49	$450.16
GALVESTON (TX)	$619.05	$448.24
HOUSTON (TX)	$639.55	$468.74
BEAUMONT (TX)	$590.63	$434.10
FORT WORTH (TX)	$618.31	$448.71
AUSTIN (TX)	$643.70	$461.71
REST OF TEXAS (TX)	$603.95	$440.71
UTAH (UT)	$600.47	$438.77
VIRGINIA (VA)	$609.04	$439.95
VIRGIN ISLANDS (VI)	$629.74	$455.83
VERMONT (VT)	$604.12	$433.83
SEATTLE (KING CNTY) (WA)	$713.72	$502.66
REST OF WASHINGTON (WA)	$639.64	$458.51
WISCONSIN (WI)	$584.99	$420.20
WEST VIRGINIA (WV)	$594.39	$444.91
WYOMING** (WY)	$616.54	$444.53

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare's Physician Fee Schedule amount is built from three Relative Value Units (RVUs) assigned to the code: physician work, practice expense, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice expense RVUs differ between non-facility (e.g., physician office) and facility (e.g., hospital outpatient) settings because overhead costs differ, which is why this code has two separate national and locality-based amounts.

RVUs — work 6.66, practice expense 10.97 (non-facility) / 5.82 (facility), malpractice 1.12 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment or coverage.
Medicare typically pays 80% of the approved amount after the patient's annual Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary due to locality-specific GPCIs, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments to the fee schedule.
Figures are based on the published PFS conversion factor and RVUs for the stated year and are subject to change with CMS updates or correction notices.
Verify final payment amounts, coverage policy, and any prior authorization requirements with your Medicare Administrative Contractor (MAC).

Frequently asked

Why are there two different amounts for this code?

Medicare publishes separate amounts for non-facility (e.g., physician office) and facility (e.g., hospital) settings because the practice expense RVU — which accounts for overhead like staff and supplies — differs depending on where the service is performed.

Why does the amount change by locality?

Each Medicare locality has its own Geographic Practice Cost Indices (GPCIs) for work, practice expense, and malpractice, which adjust the RVUs to reflect local cost-of-living and practice cost differences before the conversion factor is applied.

Does this page show what Medicare will actually pay?

No. It shows the PFS allowed amount estimate. Actual reimbursement depends on the patient meeting their deductible, the 80/20 coinsurance split, any applicable modifiers, and adjustments such as sequestration.

Why isn't the CPT code description shown?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so this page references the code generically rather than reproducing the official descriptor.

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Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.